Organization
BECOMING MORE JOURNEYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA RUDOLPH PSYD (CLINICAL PSYCHOLOGIST)
(732) 239-7208
Entity
Organization
Contact information
Practice address
2500 QUANTUM LAKES DR STE 203, BOYNTON BEACH, FL 33426-8323
(732) 239-7208
Mailing address
2500 QUANTUM LAKES DR STE 203, BOYNTON BEACH, FL 33426-8323
(732) 239-7208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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